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Your brother can continue the analgesics such as Ibuprofen 400 mg twice a day along with Omeprazole 20 mg once a day to provide relief from pain. There is no medication which can provide immediate relief. It will take time of two to three weeks for the inflammation to settle and only then uric acid lowering drugs can be started. If they are started before inflammation has settled, then it causes more pain in other joints too. So, avoid them at present. Application of ice is also very effective in decreasing pain and inflammation. Consult your specialist doctor, discuss with him or her and start the treatment with consent. Avoid taking high protein diets this protein products breakdown in the body and increase uric acid content. Also avoid the following food items. Red meat and organ meats, shellfish such as shrimp and lobster, refined carbohydrates (white bread, white rice, pasta and sugar), processed foods (chips, snack foods, frozen dinners), sugary beverages and alcohol. You can include the following foods to your diet: Skim milk, low-fat dairy products such as yogurt, cheese, cottage cheese, whole-grain products, plant oils (olive or canola or sunflower), vegetables, cherries and vitamin C supplements. These dietary modifications are for long-term relief rather than immediate results.